I think the excitement release adrenaline, which caused the PVCs to start, which scared you, which released more adrenaline, which caused more PVCs, etc. This is a nasty and vicious cycle. You may say, "well, there are times I'm not feeling excited, but they are still there!" That is true, but the adrenaline kicks your heart in the butt and makes it "irritable."
Your doctor doesn't think you're dying. He really doesn't. I worked in cardiac critical care. I know what dying of heart arrhythmias presents like and this isn't it. Trust me. If we die of these, we will never know it.
Seriously I feel your pain. I went to my EP today. I have had years of this stuff and it just wears you down, I know. If you have the tests done then you are not going to die. This is more common than what you think. Two girls I work with have had PACs PVCs in the past two months. One had them for six weeks up to the day her daughter got married (Stress) and the other had them for five weeks I guess because of female stuff. Anxiety is a huge trigger! I dont know why a heart doc will NEVER prescribe anxiety meds though...hmmmm. I really think you should get any test done to rule out some serious prob, because in your mind you are thinking you have some serious prob. Its the only way to convince YOU. I know there are meds to ease your mind and there are meds to ease the palps like a beta blocker or flecainide. My PAC's that started four weeks ago (every flippin 4th and 5th beat non-stop)are now triggering SVT ev freakin night! My pulse is all ovr the flippin place and the doc tells me today to not worry about it!!!! Somebody just knock me in the head. ps my echo today...perfect, my blood...perfect I dont get it either. During doc visit no palps. ast saturday I talked one of our ambulance drivers into giving me an EKG it showed the PAC's but during that time the in and out of SVT stopped. Drove back home started again. Are we all freaking crazy?
Anxiety plays a big role in my arrythmia.
I have tried valium and zanax for anxiety. It helps the anxiety but it does not prevent svt runs.
Since finding out about what all my weird beats are and yes ... all my tests are "normal" I am still nervous and anxious at times.
I do go to counselor and she said that my big svt runs have caused trauma and I have developed fears because of them. You see I almost black out when they are pronged and fast - svt 's. Finally caught one on a holter monitor. When they first come on it feels like anxiety - they are just horrible!
As I work on letting go and notice when I feel peaceful and content (rarely) I notice it ( instead of my health concerns ) and go ahhhh I am
noticing this peace and I like it and none of my life circumstances have changed. Just my thoughts. Most of the time I feel like a tightly wound ball of something!
Earlier today my teenager called me to bring his basketball shoes to school. I felt my heart skip a beat and had that sinking feeling inside. Stress
and adrennaline- cause I resented him for inconveniencing my schedule.
Yes, stress makes EVERYTHING worse.
Also- the metaprolol seems to help- somehow it blocks the adrenaline from getting to the heart. I have been on it for a month. I have read it is also used to treat anxiety.
Hang in there... Really !... It will get better.
I am not trying to minimize this is any way, I have Afib, pac's and pvc's. I know how anxious it can make you, how hard it is to think of anything else when your heart is acting up. One thing that might help is to try not letting your imagination run away with you. Trust that your doctor would tell you if you had a serious problem. If you'd feel better, get another opinion. But going down that road of imagining "what if" is not a good idea. It can make you crazy. It is not always going to work, but try to focus on anything positive that you can, i.e., you're not in the hospital. You can get a handle on this. Be brave and keep searching for answers and exploring all the avenues you can to get through this. I just had an incident today where we were supposed to attend a dinner, but the weather was bad, I can't walk far in the cold, etc., until my heart started acting up. I finally decided just not to go. I really hated to miss out, but can't always have what we want. Sending good thoughts and prayers your way.
I still havent figured out the secret of pvc's, but i must admit that i have not had them as often as i used to since i started on some new meds. (stating i been on them a while now)- 3 weeks with 50mg -3 weeks 100mg and now on 150- (think me and the doc are taking it slowly up to the 200mg. )
But yeah..... Of course there are good periods and bad periods, so cant really conclude anything yet.
Im far from cured from my anxiety and the throughts that follow. (been having stomach issues and now a sore throat and that alone gets my thoughts running)-
But maybe the meds have helped even some things out making me less prone to pvc's.
All in all of course ill share my discovery when i feel i can conclude some fact more precisely.
You said you magnesium has been tested however a regular blood test will not tell you anything
What type of test is necessary to determine mag and other minerals? In the hospital the blood is the only measure they have used on me.
I view it like this. The pacer cells in your heart that cause the PVCs are in and of themselves the root cause of a PVC. Everything else aside, it's those cells that are acting up. This is called "enhanced automaticity".
Tthere's a bunch of other stuff that can make these already twitchy cells even more twitchy.
That can be substances in your blood such as hormones, certain drugs, caffeine, electrolyte issues.
Or, it could be activity on your central nervous system, a.k.a. autonomic nervous system. The CNS / ANS controls things like anxiety responses, digestion, endocrine control. It even has nerves going to your heart telling it when to slow down or speed up. People have noticed that when the CNS acts up in other areas, such as digestion issues, they also get palps.
So, my point is, anxiety is not a root cause. It could be a contributing factor. The root cause is enhanced automaticity. Other stuff can contribute to making the root cause worse. However, in the end, the PVCs are coming from heart cells.
Also I've never seen any scientific studies that show increased anxiety = increased palps. All the evidence is anecdotal. Even if a doc is quoting this it's not based on science.
Another thing I try to explain (I'm not sure if people can understand this) is that there are two types of anxiety in my opinion. There's the appropriate anxiety that we all feel in bad situations. It belongs there, we know it. Then there's inappropriate anxiety. This is the CNS actually triggering certain parts of anxiety responses for no reason at all. It's like having a pinched nerve. it's being stimulated but for the wrong reasons. You might not even know it's going on. My guess is that it's a form of what's called dysautonomia. Dysautonomia means there's something wrong with the CNS / ANS. It's not working right for some reason. I firmly believe that anxiety disorders and panic disorder can be a type of dysautonomia in certain situations but that's not something that's every been proven.
I hope that makes sense.
TL;DR, heart cells are the root cause for ectopic beats, the condition is called "enhanced automaticity". Other body functions, drugs, CNS tone, emotional awareness, or chemicals can aggravate the cells to make it worse.
RNrita.. I love you! lol. YOur always so reassuring and comforting. Yes., I called my cardiologist.. the nurse told me he was reviewing my Echo.. and that he would send me a letter via mail.. I thought.. GEez.. I hope I don't get a letter in the mail saying hey.. yeah,.. you have CAD, or cardiomyaphathy or something like that... yikes..
I know., he keeps telling me I'm ok.. but he wouldn't take me up on my offer if he can come live with me and tell me I'm ok every minute of everyday.. go figure..!
Tsco.. Yes, I feel like If its my anxiety causing this.. than I am crazy. In the head for sure. .. I actually have my first psychiatrist apt tomorrow at 11am. I am covering my bases.. that if its not physical.. than I need to talk to someone .
Stress-- Check! got lots of that. Within the past three years I've lost a job, lost an apartment, credit went to hell, had viral meningitis which led to a CSF leak in my spine which I had to have a blood patch to fix which led to Vertigo which I still have today( and associate with omg its my heart causing dizziness).. To my dog passing away, to a horrible relationship and breakup.. to financial problems , bill collectors.. job issues..and to top it off a herniated disc in my back which is painful everyday. WHEW!!!! I'm exhausted rehashing all that in this paragraph.. sooooooooo yes. all the stress may have caught up with me.
But I've stopped working out.. because I don't want to increase PVC's, but I think.. duh you idiot.. hearts a muscle, if I work out maybe it will get slower and stronger.. maybe it will relieve stress. but I can't ! I'm to scared!
P>S. my cardiologist did prescribe an anti anxiety. Also atenolol, but I'm too scared to take it and keep trying natural ways to fix it. Like a stress relieving vitamin, ect... chamomile tea..
The hospital did a blood test that tested a bunch of stuff,.. RBC, WBC.. pottassium, mag, calcium. and a bunch of other things. Then My cardiologist did the same testing for all that, thyroid, .. electrolytes.. a whole blood panel checking your blood cells, and other things. They said that if you had a virus or something affecting your heart.. it would show up.. or if you were low on Mag/ pott/ calcium.. it would show.. or if you had a thyroid issue creating palps it would show.. but mine was normal. Also blood tests cholesteral levers too
So if unappropriate anxiety( which I have in excess every single day) causes the cells that cause the pvc's to act up.. then wouldn't anxiety be something you can say "is" actually triggering them? or making them worse? I've had PVC's for over 10 years. I used to take an anti anxiety and they would go away. I went years without ANY Pvc's at all.
I've had episodes where I'd get a skipped beat when I'm scared, or super excited.. and now that I'm getting them all the time.. I don't know.
But if almost everyone gets PVc's of some sort than are you concluding that almost everyone has these " twitchy nerves/cells"?